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Prior Authorization Associate Jobs in Alabama (NOW HIRING)

Viva Health

Senior Clinical Pharmacist

Birmingham, AL · On-site

$95 - $140/hr

... tools (prior authorization, step therapy, quantity limits, etc.), review of member disruption ... Ability to prioritize effectively and collaborate with all levels of associates * Ability to ...

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Prior Authorization Associate information

What is a prior authorization associate?

Prior Authorization Associates are professionals who handle the process of obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. They review clinical documentation, communicate with healthcare providers and insurers, and ensure all necessary information is submitted for timely authorization. Their work helps reduce claim denials and ensures patients receive the care they need while adhering to insurance requirements.

What are the key skills and qualifications needed to thrive as a prior authorization associate?

To thrive as a Prior Authorization Associate, you need a strong understanding of medical terminology, insurance processes, and prior authorization requirements, often backed by a high school diploma or associate degree. Familiarity with healthcare management software, electronic health record (EHR) systems, and payer portals is typically required. Excellent attention to detail, organizational skills, and effective communication are essential soft skills for this role. These skills ensure timely and accurate processing of prior authorizations, minimizing delays in patient care and supporting efficient healthcare operations.

What are some common challenges faced by a prior authorization associate, and how can they be effectively managed?

Prior Authorization Associates often encounter challenges such as navigating complex insurance requirements, handling high volumes of authorization requests, and managing tight turnaround times. Staying organized, keeping up-to-date with payer policies, and using robust tracking systems can help manage these difficulties. Collaborating closely with clinical staff and insurance representatives is also essential for resolving issues quickly and ensuring approvals are processed efficiently. Developing strong communication and problem-solving skills is key to success in this role.

What is the difference between Prior Authorization Associate vs Medical Billing Specialist?

AspectPrior Authorization AssociateMedical Billing Specialist
CredentialsHigh school diploma or equivalent; certification in medical billing or coding often preferredHigh school diploma or equivalent; certification in medical billing or coding often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare offices, billing companies, hospitals
Primary ResponsibilitiesObtain prior authorizations from insurance for procedures and treatmentsProcess and submit medical claims, handle billing and payments

The main difference is that a Prior Authorization Associate focuses on securing insurance approvals before procedures, while a Medical Billing Specialist manages the billing process after services are rendered. Both roles require similar credentials and often work in healthcare settings, but their core functions differ in the patient care and revenue cycle process.

Is a prior authorization associate a stressful job?

A prior authorization associate's job can be stressful due to the need for accuracy, meeting deadlines, and managing complex insurance requirements. The role often involves handling high volumes of requests and communicating with healthcare providers and insurers, which can contribute to workplace pressure.

What are the most commonly searched types of Prior Authorization jobs in Alabama?

The most popular types of Prior Authorization jobs in Alabama are:

What are popular job titles related to Prior Authorization Associate jobs in Alabama?

For Prior Authorization Associate jobs in Alabama, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Associate jobs in Alabama look for?

The top searched job categories for Prior Authorization Associate jobs in Alabama are:

What cities in Alabama are hiring for Prior Authorization Associate jobs?

Cities in Alabama with the most Prior Authorization Associate job openings:

Prior Authorization Associate jobs near you

Certified Medical Assistant/Patient Care Associate

OneOncology LLC

Huntsville, AL • On-site

$16.75 - $21.75/hr

Full-time

Posted 10 days ago

OneOncology rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description:

Job purpose

The purpose of the Certified Medical Assistant/Patient Care Associate - Urology is to provide clinical and administrative support to ensure the efficient operation. You will support doctors and patients through a variety of tasks related to patient care management and communicate with accuracy, quality and timeliness.

Essential Job Functions

  • Take and record vital signs and EKG
  • Room patients
  • Prepare patients for examination
  • Obtain and update patient medication
  • Administer Injections
  • Authorizing prescription refills as directed by physicians
  • Assist In Vasectomy , Cystoscopy and Biopsy Procedures.
  • Cleaning and Sterilizing Surgical Instruments.
  • Clinical Supply inventory
  • Collect Urine/Blood Specimens
  • Surgical Scheduling
  • Prior Authorizations for medications and radiology
  • Refills, Lab Orders, Lab results
  • PAT's in Progress
  • Utilize EMR System, Microsoft Teams, Excel and Additional Hospital EMRs
  • Customer Service (greet patients and engage with providers/staff/vendors)
  • Check In/ Check Out
  • Clerical duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.

Education/Experience

  • High School diploma or equivalent
  • Medical office experience (1 year preferred)
  • Certified Medical Assistant
  • BLS Cert
  • Proven working experience as a medical assistant or medical secretary (1 year preferred)
  • Knowledge of medical office management systems and procedures
  • Excellent written and verbal communication skills
  • Strong organizational and planning skills

Working conditions

Work environment involves exposure to potentially dangerous materials and situations that require extensive safety precautions and may include the use of protective equipment.

Physical requirements

Position requires moderate physical effort, standing/walking for more than 75 percent of the day, as well as lifting objects that weight up to 10 pounds. Position may include helping to lift/arrange patients.

Direct reports

This is not a supervisory position.

What OneOncology employees say

Pay

Benefits

Hours and flexibility

Workplace

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